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Claims Project Manager Jobs (NOW HIRING)

Artemis Arc

Project Manager

The Project Manager will oversee modernization initiatives across multiple operational areas including claims processing, eligibility determination, intake automation, appeals processing, benefits ...

Artemis Arc

The Project Manager will oversee modernization initiatives across multiple operational areas including claims processing, eligibility determination, intake automation, appeals processing, benefits ...

Molina Healthcare

Examiner, Claims

Long Beach, CA · Remote

Completes basic claims projects as assigned. Required Qualifications At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or ...

TIER4 GROUP

Sr. Project Manager

Atlanta, GA · On-site

Partner with claims leadership to set clear project goals, metrics, and deliverables. * Plan and Strategize : Create comprehensive project plans, detailing scope, timelines, resources, and risk ...

Waters Construction

Project Manager

Bridgeport, CT · On-site

$150K - $170K/yr

Support claims documentation and change management efforts Scheduling & Project Controls * Develop, maintain, and update project schedules * Utilize Primavera and other scheduling platforms to manage ...

Waters Construction

Project Manager

Bridgeport, CT · On-site

Support claims documentation and change management efforts Scheduling & Project Controls * Develop, maintain, and update project schedules * Utilize Primavera and other scheduling platforms to manage ...

Waters Construction

Project Manager

Bridgeport, CT

Support claims documentation and change management efforts Scheduling & Project Controls * Develop, maintain, and update project schedules * Utilize Primavera and other scheduling platforms to manage ...

INSPYR Solutions

Project Manager

Greenville, SC · On-site

$155K/yr

Manage risks, opportunities, claims, and changes throughout the project lifecycle * Maintain strong customer relationships and resolve issues in a timely manner * Ensure compliance with internal ...

Molina Healthcare

Analyst, Claims Research

Long Beach, CA · On-site +1

$19.84 - $38.69/hr

... • Manages and leads major claims projects of considerable complexity and volume that may be initiated internally, or through provider inquiries/complaints, or legal requests. • Assists with ...

High Industries

Project Manager

Denver, PA

The Project Manager will plan, schedule and handle administration of assigned projects to meet the ... Provide analysis as required to support the Company claims and defend claims submitted against the ...

High Industries

Project Manager

Denver, PA · On-site

The Project Manager will plan, schedule and handle administration of assigned projects to meet the ... Provide analysis as required to support the Company claims and defend claims submitted against the ...

Merit Restorations

Project Director

Lynchburg, VA · On-site

... Core Claims Project Managers . You will own project financials, drive operational excellence, and strengthen the performance and readiness of our project management team. This position manages ...

Hub Technology Group

Project Manager

Providence, RI

$65 - $80/hr

Information Technology Project Manager HC Insurance Claims & Duals LOCAL W2 Only The ideal candidate will be responsible for planning, coordinating, and implementing projects within the decided-upon ...

The High Companies

Project Manager

Denver, PA · On-site

The Project Manager will plan, schedule and handle administration of assigned projects to meet the ... Provide analysis as required to support the Company claims and defend claims submitted against the ...

Merit Restorations

Project Director

Lynchburg, VA · Hybrid

... Core Claims Project Managers . You will own project financials, drive operational excellence, and strengthen the performance and readiness of our project management team. This position manages ...

Tutor Perini

Project Manager

Henderson, NV · On-site

Provide proactive claims protection. * Track and monitors all cost reports. * Update all labor and ... Previous experience as a Project Manager for building construction projects exceeding $50M in value

Hub Technology Group

Project Manager

Providence, RI · On-site

Information Technology Project Manager HC Insurance Claims & Duals (Experience a plus) LOCAL W2 Only The ideal candidate will be responsible for planning, coordinating, and implementing projects ...

Tutor Perini

Project Manager

Pocola, OK · On-site

Provide proactive claims protection. * Track and monitors all cost reports. * Update all labor and ... Previous experience as a Project Manager for building construction projects exceeding $50M in value

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Claims Project Manager information

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$35K

$87.9K

$139K

How much do claims project manager jobs pay per year?

As of Jul 8, 2026, the average yearly pay for claims project manager in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Claims Project Manager, and why are they important?

To thrive as a Claims Project Manager, you need expertise in claims processing, project management, and a solid understanding of insurance industry standards, often backed by a bachelor's degree and project management certification (like PMP). Familiarity with claims management systems, workflow software, and data analytics tools is typically required. Strong leadership, problem-solving abilities, and effective communication skills help drive team performance and manage stakeholder expectations. These competencies ensure efficient claims handling, on-time project delivery, and high client satisfaction in a complex regulatory environment.

How does a Claims Project Manager typically collaborate with cross-functional teams during large-scale claims initiatives?

As a Claims Project Manager, you will frequently coordinate with teams from underwriting, legal, IT, and customer service to ensure successful project delivery. This involves leading meetings, setting clear timelines, aligning project goals, and facilitating communication among stakeholders to address issues promptly. Your role is crucial in bridging gaps between departments, ensuring regulatory compliance, and keeping projects on track. Effective collaboration and strong organizational skills are essential for managing competing priorities and driving initiatives to completion.

What is the difference between Claims Project Manager vs Claims Adjuster?

AspectClaims Project ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU), and project management experienceRequires a high school diploma or equivalent; certifications like AIC or CPCU are common but not mandatory
Work EnvironmentManages claims projects, coordinates teams, and oversees claim processes within insurance companies or third-party administratorsInvestigates claims, assesses damages, and determines claim validity directly with policyholders and vendors
Industry UsageUsed in insurance companies, focusing on managing claim workflows and projectsUsed across insurance, adjusting firms, and independent agencies, focusing on claim evaluation

The Claims Project Manager focuses on overseeing claim processes and managing teams to ensure efficient claim handling, while the Claims Adjuster directly investigates and evaluates individual claims. Both roles are essential in the insurance industry but differ in responsibilities and scope.

What does a Claims Project Manager do?

A Claims Project Manager oversees and coordinates projects related to insurance claims processing, ensuring that claims are handled efficiently, accurately, and in compliance with regulations. They are responsible for managing cross-functional teams, setting project timelines, and implementing process improvements. Additionally, they serve as a liaison between clients, adjusters, and other stakeholders to resolve issues and maintain project progress. Their goal is to improve claims operations and customer satisfaction while minimizing costs and risks.
More about Claims Project Manager jobs
What cities are hiring for Claims Project Manager jobs? Cities with the most Claims Project Manager job openings:
What states have the most Claims Project Manager jobs? States with the most job openings for Claims Project Manager jobs include:
What job categories do people searching Claims Project Manager jobs look for? The top searched job categories for Claims Project Manager jobs are:
Claims Project Manager jobs near you
Infographic showing various Claims Project Manager job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.

Project Manager

Artemis Arc

Remote

Other

Re-posted 28 days ago

Job description

Requisition ID
2026-4357
Job Summary
The Project Manager will provide leadership, oversight, coordination, and management support for the Veterans Health Administration (VHA) Integrated Veteran Care (IVC) Veteran Family Member Programs (VFMP) Modernization Portfolio. This position supports enterprise modernization initiatives focused on operational transformation, healthcare claims modernization, eligibility modernization, appeals modernization, Electronic Data Interchange (EDI), workflow automation, data integration, and organizational process improvement.
The Project Manager will oversee modernization initiatives across multiple operational areas including claims processing, eligibility determination, intake automation, appeals processing, benefits coordination, care coordination, pharmacy support, duty to assist, and customer service operations. The Project Manager will ensure projects are successfully delivered within scope, schedule, budget, and performance expectations while aligning with VFMP governance, modernization priorities, and operational objectives.
This role serves as the primary coordination point between Government leadership, operational stakeholders, technical teams, vendors, and contractor personnel. The Project Manager will lead project planning, execution, governance reporting, stakeholder engagement, risk management, schedule management, and implementation coordination activities supporting the VFMP Modernization Portfolio.
The Project Manager will support both Agile and traditional project management methodologies while ensuring modernization initiatives improve operational efficiency, reduce processing backlogs, support automation goals, and enhance service delivery to Veterans and beneficiaries.
Primary Responsibilities
Project & Portfolio Management
  • Lead and manage modernization projects supporting VFMP operational transformation initiatives.
  • Oversee project lifecycle activities including:
    • Project initiation
    • Planning
    • Execution
    • Monitoring and control
    • Reporting
    • Project closeout
  • Develop and maintain Integrated Master Schedules (IMS), project plans, timelines, and implementation schedules.
  • Coordinate project milestones, deliverables, dependencies, risks, and action items.
  • Monitor project scope, schedule, resource utilization, and overall performance.
  • Ensure projects are delivered within approved timelines and operational objectives.
  • Support portfolio management activities aligned with VFMP governance standards and modernization priorities.
  • Coordinate synchronization of modernization efforts, organizational change management activities, and knowledge management initiatives.

Stakeholder Coordination & Leadership
  • Serve as the primary liaison between Government leadership, operational stakeholders, technical teams, vendors, and contractor personnel.
  • Facilitate cross-functional collaboration among business, operational, technical, and implementation teams.
  • Lead project meetings, governance reviews, implementation discussions, and executive briefings.
  • Prepare and present:
    • Executive status reports
    • Project briefings
    • Progress updates
    • Risk assessments
    • Recommendations
    • Decision support materials
  • Support stakeholder engagement and communication activities throughout project lifecycles.
  • Coordinate escalation management and issue resolution activities.

Governance, Reporting & Compliance
  • Ensure modernization initiatives comply with VHA governance standards, policies, and reporting requirements.
  • Develop and maintain:
    • Project Management Plans (PMPs)
    • Risk Registers
    • Action Item Logs
    • Dependency Trackers
    • Stakeholder Registries
    • Status Reports
    • Meeting Minutes
    • Implementation Plans
    • Governance Artifacts
  • Support quality assurance and performance monitoring activities.
  • Monitor contractor performance and deliverable quality standards.
  • Coordinate monthly, quarterly, and executive reporting requirements.

Modernization & Operational Support
  • Support modernization efforts involving:
    • Claims processing modernization
    • Eligibility modernization
    • Appeals modernization
    • EDI implementation
    • Workflow automation
    • Robotic Process Automation (RPA)
    • Intake modernization
    • Data integration initiatives
    • Operational efficiency initiatives
  • Coordinate implementation and deployment activities supporting modernization projects.
  • Assist with operational readiness planning and implementation support.
  • Monitor project impacts on operational workflows and service delivery.

Risk & Issue Management
  • Identify, monitor, and mitigate project risks, dependencies, and implementation barriers.
  • Coordinate issue management and corrective action planning.
  • Escalate critical issues to Government leadership as appropriate.
  • Support development of mitigation strategies and contingency plans.
  • Track and monitor project action items and operational impacts.

Team Leadership & Coordination
  • Lead contractor project teams and coordinate project assignments and activities.
  • Support onboarding and offboarding of contractor personnel.
  • Ensure staff compliance with training, security, and project requirements.
  • Promote collaboration, accountability, and continuous improvement across project teams.
  • Coordinate activities across technical, operational, and business teams supporting modernization initiatives.

Testing, Deployment & Implementation Support
  • Support User Acceptance Testing (UAT), end-to-end testing, and implementation readiness activities.
  • Coordinate implementation schedules and deployment support activities.
  • Support operational transition and post-implementation stabilization efforts.
  • Ensure modernization solutions meet business and operational requirements prior to deployment.

Minimum Qualifications
Education
Bachelor's degree in:
  • Business Administration
  • Healthcare Administration
  • Project Management
  • Information Systems
  • Public Administration
  • Organizational Leadership
  • Or related field

PMP Certification
Required Experience
  • Minimum four (4) years of Federal healthcare, enterprise project management, or modernization program experience.
  • Experience managing complex modernization, transformation, or operational improvement initiatives.
  • Experience managing project schedules, risks, stakeholders, dependencies, and deliverables.
  • Experience supporting operational or technology implementation projects.
  • Experience leading cross-functional project teams in fast-paced environments.
  • Experience preparing executive-level reports, briefings, and governance documentation.

Desired Qualifications
  • Previous experience supporting Department of Veterans Affairs (VA) or Veterans Health Administration (VHA) programs.
  • Experience supporting healthcare claims processing, eligibility modernization, appeals modernization, or EDI initiatives.
  • Experience supporting Federal healthcare modernization or operational transformation efforts.
  • Experience with Agile, hybrid, or enterprise project management methodologies.
  • Project Management Professional (PMP), Agile, Scrum, or related certification preferred.
  • Familiarity with workflow automation and Robotic Process Automation (RPA) initiatives preferred.

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